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Review
. 2021 Mar 1;13(1):e2021025.
doi: 10.4084/MJHID.2021.025. eCollection 2021.

How I Treat Febrile Neutropenia

Affiliations
Review

How I Treat Febrile Neutropenia

Marcio Nucci. Mediterr J Hematol Infect Dis. .

Abstract

The management of febrile neutropenia is a backbone of treating patients with hematologic malignancies and has evolved over the past decades. This article reviews my approach to the evaluation and treatment of febrile neutropenic patients. Key topics discussed include antibacterial and antifungal prophylaxis, the initial workup for fever, the choice of the empiric antibiotic regimen and its modifications, and criteria for discontinuation. For each of these questions, I review the literature and present my perspective.

Keywords: Febrile neutropenia; Fever; Management; Neutropenia.

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Conflict of interest statement

Competing interests: The authors declare no conflict of Interest.

Figures

Figure 1
Figure 1
Strategy of empiric antibiotic therapy in patients with colonization or a previous episode of infection by multi-drug-resistant Gram-negative bacteria.

References

    1. Schimpff S, Satterlee W, Young VM, Serpick A. Empiric therapy with carbenicillin and gentamicin for febrile patients with cancer and granulocytopenia. N Engl J Med. 1971;284:1061–5. doi: 10.1056/NEJM197105132841904. - DOI - PubMed
    1. Hughes WT, Armstrong D, Bodey GP, Brown AE, Edwards JE, Feld R, Pizzo P, Rolston KV, Shenep JL, Young LS. 1997 guidelines for the use of antimicrobial agents in neutropenic patients with unexplained fever. Infectious Diseases Society of America. Clin Infect Dis. 1997;25:551–73. doi: 10.1086/513764. - DOI - PubMed
    1. Viscoli C, Castagnola E, Caniggia M, De SL, Garaventa A, Giacchino M, Indolfi P, Izzi GC, Manzoni P, Rossi MR, Santoro N, Zanazzo GA, Masera G. Italian guidelines for the management of infectious complications in pediatric oncology: empirical antimicrobial therapy of febrile neutropenia. Oncology. 1998;55:489–500. doi: 10.1159/000011901. - DOI - PubMed
    1. NCCN practice guidelines for fever and neutropenia. National Comprehensive Cancer Network. Oncology (Williston Park) 1999;13:197–257. - PubMed
    1. Wade JC, Rubenstein EB. NCCN: Fever and neutropenia. Cancer Control. 2001;8:16–21. - PubMed